| Ortho Smiles Of Staten Island Pc | |
|
2791 Richmond Ave Ste 202 Staten Island NY 10314-5859 | |
| (718) 300-3499 | |
| Not Available |
| Full Name | Ortho Smiles Of Staten Island Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2791 Richmond Ave Ste 202, Staten Island, New York |
| Authorized Official Name and Position | Hong Yin (PRESIDENT) |
| Authorized Official Contact | 7183003499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho Smiles Of Staten Island Pc 2791 Richmond Ave Ste 201 Staten Island NY 10314-5859 Ph: (718) 300-3499 | Ortho Smiles Of Staten Island Pc 2791 Richmond Ave Ste 202 Staten Island NY 10314-5859 Ph: (718) 300-3499 |
| NPI Number | 1265913693 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265913693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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